| NPI | 1679334387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE MAHIN Owner 317-679-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-07-17 |